Topic: Mental & Behavioral Health

50% of a psychologist’s salary is covered through fee-for-service revenue because psych CPT codes do not reimburse at the same level as medical

The prevalence of mental illness is about equal among beneficiaries enrolled in traditional Medicare (31%) and those in Medicare Advantage plans (28%)

77% of executives are concerned with the lack of funding for addressing behavioral health and addiction issues

Over 70 % of state Medicaid programs reported at least one strategy to incentivize provider participation in Medicaid, helping to alleviate the behavioral health workforce shortage

Having one or more Outpatient Behavioral Health Treatment visits was associated with lower medical & pharmacy costs during 15 & 27-month follow-up periods

Behavioral Health Inequities Have Cost the US Health Care System Over $278B

67% of U.S. employers plan to make employee mental health & emotional well-being programs & solutions one of their top three health priorities

19.86% of adults are experiencing a mental illness

The American Rescue Plan Act, introduced in January 2021, put $12 billion toward mental healthcare & substance abuse care in Medicaid home & community-based services (HCBS).

Mental health visits are five times more likely to be out of network than primary or specialty care